Healthcare Provider Details

I. General information

NPI: 1124017025
Provider Name (Legal Business Name): ACCESS URGENT MEDICAL CARE OF UPPER ARLINGTON INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2005
Last Update Date: 12/20/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4661 SAWMILL RD
UPPER ARLINGTON OH
43220-6123
US

IV. Provider business mailing address

4661 SAWMILL RD
UPPER ARLINGTON OH
43220-6123
US

V. Phone/Fax

Practice location:
  • Phone: 614-583-1133
  • Fax:
Mailing address:
  • Phone: 614-583-1133
  • Fax: 614-583-1138

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NINO DIIULLO
Title or Position: OWNER PRESIDENT
Credential: MD
Phone: 614-433-9200